Raysha Clark, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2012127 Issued in AR

Practice address

10201 W Markham St Ste 203
Little Rock, AR 72205-2181

Phone

(501) 424-0555

Fax

(501) 500-2666

NPI assigned

Aug 9, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Collective PLLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1972163434
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1730668864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 W MARKHAM ST STE 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052181",
            "telephone_number": "501-424-0555",
            "fax_number": "501-500-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 W MARKHAM ST STE 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052181",
            "telephone_number": "501-424-0555",
            "fax_number": "501-500-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RAYSHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1808105",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2012127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Andrew Clark II, LAMFT
• Kevin Clark, MHPP
• Laura Ann Clark, APN
• Lori Louanne Clark, OTR/L
• Michele May Clark, LAC
• Richard Clark
• Robert B Clark, MD
• Sally Clark, MD
• Shameka Clark, M.S. CCC-SLP
• Shannon Westmoreland Clark, M.A.P.

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.